| NPI | 1841721800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11347) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-70299) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA26215) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-10-01 |